MARIO BAUTISTA

JAMAICA, NY
NPI1851749725
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: NY  097096-1)
Enumeration Date2016-06-01
Last Update Date2016-06-01
Business Address
MARIO BAUTISTA
13325 GUY R BREWER BLVD
JAMAICA, NY 11434-2941
Phone number: 718-276-2508
Mailing Address
MARIO BAUTISTA
26 W SEAMAN AVE
FREEPORT, NY 11520-1547
Phone number:
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